NPIMap

Organization Active NPI

Miller-Tree of Life

  • Mental Health Counselor
  • Colorado Springs, CO
National Provider Identifier
1063705994
Registry record updated May 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2706 Issued in CO
Legal business name
MILLER-TREE OF LIFE
Practice address
5080 Mark Dabling Blvd
Colorado Springs, CO 80918-3833
Phone
(719) 593-1618
NPI assigned
May 25, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Kent Leon Miller, LPC
Title
Owner
Phone
(719) 593-1618

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 2706 CO Primary

Addresses

Primary practice location

5080 Mark Dabling Blvd
Colorado Springs, CO 80918-3833

Mailing address

14797 Latrobe CT
Colorado Springs, CO 80921-2664
Phone (719) 593-1618

Other names 1

  • Tree of Life Counseling Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1306281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306281600000",
    "number": "1063705994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14797 LATROBE CT",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809212664",
            "telephone_number": "719-593-1618",
            "fax_number": "719-278-3804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5080 MARK DABLING BLVD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809183833",
            "telephone_number": "719-593-1618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLER-TREE OF LIFE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-25",
        "last_updated": "2011-05-25",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "KENT",
        "authorized_official_middle_name": "LEON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-593-1618",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "2706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tree of Life Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.